ROCKDALE BLACKHAWK, LLC (NPI# 1811489974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811489974 |
| Entity Type | Organization |
| Organization Name | ROCKDALE BLACKHAWK, LLC |
| Other Organization Name | LITTLE RIVER HEALTHCARE - TEMPLE SURGERY CENTER |
| Practice Address |
1909 Sw Hk Dodgen Loop Temple TX 76502 |
| Mailing Address |
1700 Brazos Avenue Rockdale TX 76567 |
| Practice Telephone | 2542982530 |
| Practice Fax Number | 2547770207 |
| Mailing Telephone | 5124464500 |
| Mailing Fax Number | 5124460084 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| Authorized Official Name | PEGGY BORGFELD (MANAGER) |
| Authorized Official Telephone | 5124464502 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
130224 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Little River Healthcare - Temple Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760926604 | Rockdale Blackhawk, LLC | Orthopaedic Surgery | 623 Hwy 71 W, Suite 204, Bastrop, TX 78602-4166 | 2016-12-12 |
| 1124562053 | Rockdale Blackhawk, LLC | Orthopaedic Surgery | 815 Hwy 71 W, Suite 1150, Bastrop, TX 78602-0319 | 2016-12-12 |
| 1437693363 | Rockdale Blackhawk, LLC | Orthopaedic Surgery | 2500 West William Cannon Drive, Suite 401, Austin, TX 78745-5290 | 2016-12-12 |
| 1407399884 | Rockdale Blackhawk, LLC | Orthopaedic Surgery | 207 W Avenue E, Suite 1000, Lampasas, TX 76550-1820 | 2016-12-02 |
| 1285911123 | Rockdale Blackhawk, LLC | Clinic/Center | 1700 Brazos, Suite A, B and C, Rockdale, TX 76567 | 2011-11-07 |
| 1972047801 | Rockdale Blackhawk, LLC | Orthopaedic Surgery | 135 Bunton Creek Road, Suite 302a, Kyle, TX 78640-5701 | 2016-12-12 |
| 1538610274 | Rockdale Blackhawk, LLC | General Practice | 2200 Park Bend Dr, Bldg 2-301, Austin, TX 78758-5387 | 2016-10-18 |
| 1437448156 | Rockdale Blackhawk, LLC | Physiological Laboratory | 2401 Fm 646 Rd W, Suite B, Dickinson, TX 77539-3249 | 2011-04-04 |
| 1982894408 | Rockdale Blackhawk, LLC | Clinic/Center | 104 S Magnolia St, Hearne, TX 77859-2565 | 2007-07-31 |
| 1811100076 | Rockdale Blackhawk, LLC | General Acute Care Hospital | 1700 Brazos Ave, Rockdale, TX 76567-2517 | 2007-05-07 |
| Street Address |
1909 SW HK DODGEN LOOP |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| 1689027054 | Blake Peterson | Podiatrist | 8130 Hawthorn, Temple, TX 76502 | 2016-07-20 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912176629 | Surgery Center of Temple LLC | Clinic/Center | 1909 Hk Dodgen Loop, Temple, TX 76502 | 2008-02-27 |
| 1457470262 | Scott & White Memorial Hospital | Clinic/Center | 2401 S 31st St, Temple, TX 76508-0001 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326785 | Texas Partners Center | Clinic/Center | 3304 Colorado Blvd Ste 203, Denton, TX 76210-6873 | 2020-11-02 |
| 1730789231 | Zeo Surgical Center LLC | Clinic/Center | 4511 Horizon Hill Blvd Ste 100, San Antonio, TX 78229-2399 | 2020-10-26 |
| 1194323725 | Mission Surgery Center LLC | Clinic/Center | 603 E Amber St, Suite 103, San Antonio, TX 78221-7822 | 2020-10-15 |
| 1083211809 | Forest Landing Surgical Center LLC | Clinic/Center | 9303 New Trails Dr Ste 185, The Woodlands, TX 77381-5009 | 2020-10-05 |
| 1457968430 | Park Ventura Endoscopy Center, LLC | Clinic/Center | 981 State Highway 121, Suite 2100, Allen, TX 75013 | 2020-09-24 |
| 1851904056 | Zenith Surgery Center | Clinic/Center | 10710 Kuykendahl Rd Ste 160, The Woodlands, TX 77381-2695 | 2020-08-26 |
| 1063024719 | Horizon Surgery Center | Clinic/Center | 2813 Smith Ranch Rd Ste 180, Pearland, TX 77584-5254 | 2020-08-22 |
| 1376151944 | Rhythm Endovascular & Heart Asc LLC | Clinic/Center | 5418 N Loop 1604 W Ste 250, San Antonio, TX 78249-1207 | 2020-07-20 |
| 1720603079 | Texas Health Surgery Center Chisholm Trail, LLC | Clinic/Center | 5900 Altamesa Blvd, Fort Worth, TX 76132-5473 | 2020-06-12 |
| 1831714419 | Encor Asc, LLC | Clinic/Center | 103 Whispering Winds Dr, Gunter, TX 75058-2560 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.